Nutrition Exchange, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2001025921 Issued in MO

Legal business name

NUTRITION EXCHANGE, LLC

Practice address

1602 S Big Bend Blvd
Saint Louis, MO 63117-2208

Phone

(314) 583-4525

Fax

(314) 583-4525

NPI assigned

Apr 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amber J Wamhoff, RD,LD,CDENPI 1134315179

Title

Owner

Phone

(314) 583-4525

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Joy Wamhoff, RD

  • Registered Dietitian
  • St. Louis, MO
  • NPI 1134315179

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1639342710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 LAKE AVE",
            "address_2": "UNIT 1 SOUTH",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081100",
            "telephone_number": "314-583-4525",
            "fax_number": "855-568-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631172208",
            "telephone_number": "314-583-4525",
            "fax_number": "314-583-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION EXCHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "WAMHOFF",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-583-4525",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD,LD,CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2001025921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, INDIVIDUAL",
            "identifier": "1134315179",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nuset St. Louis LLC
• Kara Elise Nuspl, DO
• Sarah Elizabeth Nussbaum, MD
• Brian Nussenbaum, MD
• Spoorthi Nutakki, MD
• Judith Sagle Nutt, COTA
• Nuzum and Associates, LLC
• Nuzum in Home LLC
• Nuzum in Home LLC
• Thomas Robert Nuzum, P.T.

• Registered Dietitian in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.